Individual
ELIZABETH LEIGH WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3000
Mailing address
6741 ALTAMOUNT CIR, MOUNT PLEASANT, WI 53406-6815
(262) 498-5776
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
541723
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710561923
—
WI
Enumeration date
05/12/2021
Last updated
05/24/2021
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